Handout on 2/19/2010. Updated 3/3/2010. Answers are now final.

a significant procedure may not

be coded in addition to the principal diagnosis

a diagnosis cannot be coded if

there is no documentation in the report

the use of the fifth digit is required only when

none of the above

when codes are listed in slanted brackets in the alphabetical index it indicates that

both codes must be listed in the specified order

on the CMS form physicians will not be reimbursed if

six ICD-9 s are listed

review of systems would be located in which medical report

history and physical

CMS means

center for medicare and medicaid services

DMEPOS is

durable medical equipment prosthetics orthotics and supplies

abuse is

downcoding

an EOB

All of the above

presence of possib.e lung cancer as evidenced by presence of masses

radiology

this 19-year-old male received repair of his right cheek right ear and back of his neck the 2.3 laceration his neck required repair of the subcutaneous tissues whereas the laceration to his cheek which was 2cm and the ear which was 1 cm required repair of the subcutaneous and superficial fascia

12032, 12004

family history is a standard element in what type of medical report

history and physical exam

if 22-year-old patient sees another physician to obtain a second opinion consult about possible surgery and the history is detailed the exam is comprehensive and the medical decision making is moderate what is the code for this visit

99244

IPA is

all of the above

JCAHO

is joint commission on accreditation of hospital organizations

manipulation

all of the above

this 67-year-old female is diagnosed with renal failure and hypertension

403.91

medigap

insurance coverage to cover the costs of deductibles

UHDDS

uniform hospital discharged data set

OPPS

both B and C

percutaneous skeletal fixation is

none of the above

SOAP

both A and B

staff model HMO is

a group of physicians who are employees of an organization that provide health care

PID

caused by gonorrhea and chlamydial infection

synapse

the space between two neurons

sympathetic nerves

are autonomic

appendicular skeleton

includes the arms

accommodation is

ophthalmic adjustment

TURP

is transurethral resection of prostate

which of the following is not a part of the heart

carotid

pleural effusion is

often characterized by empyema

grading of neoplasms is

useful in determining prognosis for patient

tomography is

a series of pictures

arthrocentesis

Surgical puncture of a joint to removal of fluid

postural problems do not include

spondylosis

part of the small intestine do not include

cecum

planes of the body do not include

caudal

which of the following is not an endocrine gland

spleen

cellulitis is characterized by

inflammation of the skin

gouty arthritis

caused by a buildup of uric acid

ovarian cysts do not include

neuroblastoma

rhabdomyoma is coded as

either a benign or malignant neoplasm of the connective tissue

fluorescein angiography is not used to detect

retinal detachment

what type of error is in the following billing scenario?

upcoding

what type of billing error is in the following billing scenario? this 29-day-old female infant is seen by the pediatrician for one hour and 15 minutes for the first time in critical care. these services are coded as 99293

age

what type of error is in the following billing scenario? this 29-year-old male patient is diagnosed with glomerulonephritis due to diphtheria which is coded as 580.81

insufficient diagnosis

what type of error is in the following billing scenario? this 59-year-old male has been diagnosed with heart disease and malignant hypertension this is coded as 402.00

this question is deleted

what type of error is in the following scenario? this 49-year-old male patient is coded as 31200 for the procedure and 786.50 for diagnosis

linkage

what type of error is in the following billing scenario? this 24-year-old male patient receives services coded as 59100

gender

mohs' surgery is performed in a 55-year-old patient what modifier would be used

5 8

a 33-year-old female patient has ORIF for a fracture while visiting out of state when she returns to her home state she visits her physician the correct modifier would be

55

which of the following is not a combination vaccine code

90732

clinical pathology consultation is not

reporting of results without interpretative judgement

vaginal delivery after a previous cesarean delivery is coded as

59612

procedures associated with central venous access catheters so not include

implatation

fractures/dislocations are coded as

fractures

a procedure that arthrodesis may be performed in conjunction with is

all of the above

critical care visits are not based on

visit

if a seven-year-old patient had a well check two days ago and returns with complaints of severe headache with a history and exam that were expanded problem focused and medical decision making that is straightforward this would be coded as

99213

patient received closed treatment of a compound fracture of the shaft of the radius with manipulation what are the proper codes

813.21, 25505

which of the following is not a type of salmonella

lymphadenitis

co-morbidities are not considered in selecting an E/M code

unless their presence significantly increases the complexity of the medical decision

when multiple procedures are performed

proper anesthesia code is the code for the most complex procedure

which of the following is not a type of ectopic pregnancy

peroneal

patient has an incomtetent cervix that resulted in an incomplete spontaneous abortion

634.71, 654.53

this 29-year-old patient received second stage mohs' surgery for seven specimens which included immunohistochemisry

17305, 17310x2, 88342 -(17315 would be the proper updated code as 17305 has been deleted

this 56-year-female is diagnosed with diabetic maculae

250.50, 362.01

in the icd-9 book destruction is not

shaving

the extension of the foot downward is

plantar flexion

what is the basic unit for an APC visit

outpatient visit

an authorization for release of information would not include

patient's previous hospitalization

this 28-year-old male is diagnosed with prostatocystitis due to staphylococcus

601.3, 041.1 (041.19 would be the proper updated code)

guarantor

The person responsible for payment of services

an eponym is

a person's name

palliative means

relieving but not curing

in vitro means

experiments conducted outside of an organism

side effects of radiotherapy do not include

incontinence

OD means

right ear

medical necessity

provides linkage between CPT and ICD-9 codes

this 34-year-old woman with a history of multiparity presents today for sterilization

V25.2, V61.5

a CVA is not caused by

septicemia

this 51-year-old male who has ESRD had Gortex graft arteriovenous fistula inserted

585.6, 36830

what is a Fowler-Stephens procedure

orchiopexy

this 2-year-old male received a 20 sq.cm graft to his right leg after having been burned three months ago when a pot of hot water fell in him

15220, 1500

this 31-year-old male has an open rotator cuff repair

23410

what is not a type of presenting problem for E/M codes

detailed

wadge ovary specimen was submitted for microscopic pathology which included special staining

88305, 88312

this 56-year-old patient is having surgical complications from his colostomy which is malfunctioning

569.62

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